Individual
DR. NANCY D. KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 N SAN SABA, SUITE 201, SAN ANTONIO, TX 78207-3154
(210) 704-3939
(210) 704-3392
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H0516
TX
2080C0008X
Child Abuse Pediatrics Physician
H0516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129581809
—
TX
Enumeration date
06/01/2006
Last updated
11/10/2011
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